Consultant in General Surgery with an interest in Upper GI Surgery

Job summary
PLEASE NOTE WE ARE SEEKING 2 SUBSTANTIVE UGI CONSULTANTS @ UHL.

We are seeking to recruit x2 enthusiastic, progressive consultants to join our general surgery department. The post will include managing elective and emergency general surgery. There are distinct training and supervisory roles to mentor medical students as well as trainees.

The appointees must possess advanced laparoscopic skills. An understanding of streamlining of care and continued adherence with best-practice guidelines is also essential. Upper GI Surgical training and endoscopy experience are also essential.The appointees should be a fully trained general and benign upper GI surgeon.

Main duties of the job
This post will improve the quality and long term sustainability of the care of our general surgery patients in line with both the Trust's and Commissioners' intentions. The post holder will lead transformational change and help develop further an innovative, modern surgical service as well as provide teaching to undergraduate & postgraduate trainees, in liaison with the other Consultant members of the Department.

The job plan will consist of ten programmed activities (10 PAs), including 1.5 SPAs and emergency work. The successful candidate will be expected to participate in an internal arrangement to provide cross-cover during absences.

The Department holds regular audit, clinical and business meetings. All consultants and junior staff are expected to attend unless prior notice is given.

These fixed commitments within the timetable may be subject to change depending on the needs of the department. The post-holder will be expected to demonstrate flexibility in frequency and arrangement of outpatient and theatre sessions.

About us
Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

1. Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
2. Widening access (anchor institution) and employability
3. Improving the experience of staff with disability
4. Improving the EDI literacy and confidence of trust staff through training and development
5. Making equalities mainstream

Job responsibilities

• 1. Clinical
• 1.1. Provide consultant care at an early stage to patients presenting to secondary care with presumed emergency general surgical problems.
• 1.2. Facilitate early senior review to ensure all patients are reviewed within 1 hour of referral to specialty.
• 1.3. Facilitate early decision making for investigation or surgical intervention.
• 1.4. Promote early and safe discharge through regular consultant review of emergency and elective surgical inpatients.
• 1.5. Deliver consultant review of all non-elective admissions within 12 hours of admission in conjunction with the on call emergency surgical consultant.
• 1.6. Establish new patient pathways alongside colleagues working in the Trust emergency department and local GPs to establish direct, rapid access and assessment of patients with potential acute general surgical conditions
• 1.7. To collaborate with General Surgeons to achieve the 18 week referral to treatment targets for both general and specialist workload
• 1.8. To provide elective benign Upper GI Surgery including biliary surgery and antireflux surgery
• 1.9. To provide training in Upper Gastrointestinal for trainees
• 1.10. To participate in postgraduate teaching
• 2. Provide High Quality Care to Patients
• 2.1 The post holder must adhere to the standards outlined by the GMC for Good Medical Practice.
• 2.2 Develop and maintain the competencies required to carry out the duties required of the post.
• 2.3 Ensure prompt attendance at agreed direct clinical care Programmed Activities.
• 2.4 Ensure patients are involved in decisions about their care and to respond to their views.
• 2.5 Demonstrate, model and encourage Trust Values at all times to all patients and staff.
• 3. Research, Teaching and Training
• 3.1. Provide high quality teaching to medical undergraduates and members of other health care professions as agreed with the Service Lead. To contribute to training and teaching of medical trainees, medical students, other doctors in training and other staff groups.
• 3.2. Act as a clinical supervisor and appraiser as delegated by the Clinical Director/Service Lead to ensure external accreditation of training post.
• 3.3. Where possible to collaborate with academic and clinical colleagues to enhance the Trusts translational research/audit portfolio, at all times meeting the full requirements of Research Governance.
• 3.4. Ensure that your mandatory training is up to date as per Trust policy.
• 3.5. The Trust expects all consultants to participate fully in continuing professional development to ensure that skills and knowledge are updated in line with relevant medical developments. Consultants may apply to the study leave budget for help with associated expenses in line with the terms and conditions of their contract. In addition consultants will be expected to undertake some non-clinical training and development at the discretion of the trust management, for example, Leadership Training.
• 4. Performance Management
• 4.1. Clinical efficiency e.g. Length of Stay (LOS) reductions, admission on day of surgery, reducing cancelled operations and DNA rates.
• 4.2. Quality of outcomes e.g. infection control targets, reducing re-admission rates
• 4.3. Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team.
• 4.4. Operational efficiency e.g. day-case rates, waiting list activity and demand management.
• 5. Medical Staff Management and Accountability
• 5.1 Work with colleagues to ensure junior doctors hours are compliant in line with EWTD and New Deal.
• 5.2 Ensure that Trust systems and procedures are in place and followed to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including on-call commitments.
• 5.3 Adhere to Trust / department guidelines on leave, including requesting and reporting absence, and professional and study leave, and to ensure that members of staff for whom you are responsible do the same.
• 5.4 Participate in the recruitment and induction of junior medical staff as delegated by the Clinical Director/Service Lead.
• 5.5 Participate in team objective setting as part of the annual job planning cycle.
• 5.6 Be responsible for ongoing assessment and regular appraisal of all doctors in training, Trust doctors and non-consultant grades as delegated by the Clinical Director/Service Lead /General Manager.
• 5.7 Participate fully in regular departmental activities including department meetings and team building activities.
• 6. Governance
• 6.1 Adherence to referral pathways for surgical oncology is expected. While the postholder is not expected to be a member of a cancer MDT, from time to time representation of patients may be required.
• 6.2 Review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director/Service Lead.
• 6.3 Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.
• 6.4 Work closely with the Directorate in relation to clinical and services developments as delegated by the Clinical Director/Service Lead.
• 6.5 Participate in ensuring NICE, NSF, CNST and other national guidance requirements are reviewed and implemented and monitored in the speciality areas.
• 6.6 Ensure clinical guidelines and protocols are adhered to by junior medical staff and any other staff for whom the post has responsibility and that these are updated on a regular basis.
• 6.7 Keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the Clinical Director/ Service Lead.
• 6.8 To role model good practice for infection control to all members of the multidisciplinary team and adhere to the Trust Infection Control measures (available on the Trust Intranet).
• 6.9 To report all clinical and non-clinical accidents or incidents promptly, and to co-operate accordingly with any investigations undertaken.
• 7. Strategy and Business Planning
• 7.1 Work with medical managers and general managers to take forward the business planning and objective setting process for the directorate and Trust where appropriate.
• 7.2 Represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director/Service Lead.
• 7.3 To attend and contribute at regular Departmental meetings as identified by the Clinical Lead.
• 8.0 Leadership and Team Working
• 8.1 Demonstrate appropriate leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national initiatives.
• 8.2 Participate in any necessary management and leadership development courses as required by the trust.
• 8.3 Work collaboratively with all members of the multi-disciplinary team and Imperial College as required.
• 8.4 Set up and chair meetings relevant for clinical domain.
• 8.5 To promote local resolution of any conflict or differences of opinion. To involve appropriate parties for mediation, negotiation or discussion as appropriate.
• 8.6 Provide commitment and leadership in relation to equality and appropriate senior level management of diversity issues, particularly as they apply to training, people management and service delivery.
• 8.7 The successful candidates will be invited to a mentoring program for newly appointed consultants with the Medical Director with the same level of support and mentoring available during weekday and weekend working.

Person Specification
Qualifications
Essential

• oFull GMC Registration and Licence to Practice
• oMB BS or equivalent
• oFRCS (Gen Surg) or equivalent
• oOn the GMC specialist register or within 6 months of obtaining this

Desirable

• PhD / MS / MD / MSc

Clinical Experience
Essential

• oWide experience of emergency general surgery with evidence of practice within 6 months of appointment
• oGood experience of elective and emergency upper and lower GI surgery with evidence of practice within 6 months of appointment
• oKnowledge of UK hospital systems
• oUpper GI subspeciality experience and training
• oProficiency in diagnostic Upper GI Endoscopy (JAG accreditation)

Desirable

• oUpper GI subspecialty experience and training
• oExperience in establishing and improving patient pathways to improve patient outcomes

Clinical Audit
Essential

• oExperience of clinical audit
• oDemonstrable understanding and acceptance of the principles of Clinical Governance

Desirable

• oExperience and evidence of involvement in Quality Improvement

Teaching Experience
Essential

• oEvidence of organizing programmes and teaching medical students and junior doctors
• oWillingness to teach all grades of professional multidisciplinary team

Desirable

• oPostgraduate training
• oFormal course for training
• oCompleted "Training the Trainers" course

Management and Administrative Experience
Essential

• oWillingness to participate in clinical management
• oAwareness of new developments in the specialty with ability to critically assess the impact of these on the service

Desirable

• oAttended management training
• oEvidence of rota management

Research Experience
Essential

• Ability to convert research evidence into clinical practice

Desirable

• Evidence of active participation in surgical research
• Thesis
• Published papers

Other Attributes
Essential

• oEvidence of team working ability and supporting colleagues
• oAbility to work flexibly in response to the changing needs of the Service

Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website.

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants.

UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website.